De grootste kennisbank van het HBO

Inspiratie op jouw vakgebied

Vrij toegankelijk

Terug naar zoekresultatenDeel deze publicatie

Getting to grips with the process of decision-making in long-term care

descriptive cases illustrate the chaotic reality of the construction of preferences

Open access

Rechten:

Getting to grips with the process of decision-making in long-term care

descriptive cases illustrate the chaotic reality of the construction of preferences

Open access

Rechten:

Samenvatting

Background
Clients facing decision-making for long-term care are in need of support and accessible information. Construction of preferences, including context and calculations, for clients in long-term care is challenging because of the variability in supply and demand. This study considers clients in four different sectors of long-term care: the nursing and care of the elderly, mental health care, care of people with disabilities, and social care. The aim is to understand the construction of preferences in real-life situations.

Method
Client choices were investigated by qualitative descriptive research. Data were collected from 16 in-depth interviews and 79 client records. Interviews were conducted with clients and relatives or informal caregivers from different care sectors. The original client records were explored, containing texts, letters, and comments of clients and caregivers. All data were analyzed using thematic analysis.

Results
Four cases showed how preferences were constructed during the decision-making process. Clients discussed a wide range of challenging aspects that have an impact on the construction of preferences, e.g. previous experiences, current treatment or family situation. This study describes two main characteristics of the construction of preferences: context and calculation.

Conclusion
Clients face diverse challenges during the decision-making process on long-term care and their construction of preferences is variable. A well-designed tool to support the elicitation of preferences seems beneficial.

Toon meer
OrganisatieZuyd Hogeschool
AfdelingFaculteit Gezondheidszorg
LectoraatLectoraat Autonomie en Participatie van Chronisch Zieken
Gepubliceerd inPLoS ONE Vol. 14, Uitgave: 5
Datum2019-05-24
TypeArtikel
DOI10.1371/journal.pone.0217338
TaalEngels

Op de HBO Kennisbank vind je publicaties van 26 hogescholen

De grootste kennisbank van het HBO

Inspiratie op jouw vakgebied

Vrij toegankelijk